| NPI | 1902312382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WV 9238) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03335025) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2021-02-17 |